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Tubal Reversal Pregnancy Report 2011

TUBAL REVERSAL PREGNANCY STUDY:
A DECADE OF OBSERVATION

Our Tubal Reversal Success Rates

Our tubal reversal study was conducted over the course of a decade from July 2000 through December 2011. There were 9,935 women having tubal ligation reversal at our practice. We studied the chances of pregnancy after tubal ligation reversal based upon the patient’s age, type of tubal ligation, and the length of their fallopian tubes after repair. The following tables show the total number of patients studied and both the pregnancy numbers and percentages for women of different ages and types of tubal ligation.


Pregnancies By Age

We observed younger women were more likely than older women to become pregnant after tubal reversal.

The pregnancy rates after tubal reversal surgery were 81% for women under 30; 75% for women 30-34; 65% for those 35-39; and 34% for women 40 years of age and older at the time of their tubal reversal procedures (Table 3).

Table 3. Pregnancies by Age

Age Total Cases Pregnant (Number) Pregnant (Percent)
<30 1388 1128 81%
30-34 3758 2823 75%
35-39 3483 2262 65%
40+ 1306 443 34%

Pregnancies By Tubal Ligation Method

Reversal of tubal clip procedures had the highest pregnancy percentage (78%), followed by tubal rings (76%), ligation/resection and coagulation (66% each). Women who had other or unknown methods of tubal ligation were least likely to get pregnant after their reversal procedures (52%).

Regardless of the method of tubal sterilization, women were able to become pregnant after reversal of all methods of tubal ligation (Table 4).

Table 4. Pregnancies by Tubal Ligation Method

Method Total Cases Pregnant (Number) Pregnant (Percent)
Clips 850 660 78%
Rings 1416 1070 76%
Ligation/Resection 3971 2616 66%
Coagulation 2849 1872 66%
Essure 68 24 35%
Other/unknown 849 438 52%

Pregnancies By Age And Method

Pregnancy percentages taking into account both age and tubal ligation methods are shown in Table 5. Women under 30 with tubal clips had the highest chance of pregnancy (90%) after sterilization reversal.

When comparing age and type of tubal ligation, a patient’s age was more predictive of pregnancy than tubal ligation method.

Table 5. Pregnancies by Age and Tubal Ligation Method

Age Clip Ring Coagulation Ligation/Resection
<30 69/77 (90%) 137/163 (84%) 190/244 (78%) 192/248 (77%)
30-34 114/139 (82%) 227/299 (76%) 461/620 (74%) 517/744 (70%)
35-39 110/151 (73%) 210/303 (69%) 353/554 (64%) 421/681 (62%)
40+ 13/42 (31%) 40/88 (46%) 49/187 (26%) 77/250 (31%)

The complete Tubal Reversal Pregnancy Study: A Decade of Observation can be viewed by using the following links:


Table of Contents

Meet Dr. Monteith

As a surgeon my reputation & integrity are extremely important to me. I’ve been providing new choices & new beginnings since 2008. I’ve had the distinct privilege of being the first surgeon in the world to report successful pregnancy within the peer reviewed medical literature after reversal of transcervical hysteroscopic tubal sterilization. Permanent is not forever at my practice! HAVE QUESTIONS?

What Our Patients Are Saying

“We had our surgery on 3/18/15 and on 02/02/16 our 7 pound 11 oz baby girl was born! I’m 34 years old and had tubal ligation done via clamps 8 years prior so this surgery really does work! 8 years later I had the reversal and 9 years later we were blessed with our little girl! So many doctors tried to talk us out of it-wanted us to do IVF to get our money-however praise God we went with this because it does WORK! Dr M is amazing and his staff! The area is beautiful where his office is, and if you do this procedure it will be the best money you ever spend!”

– Charlee-Belle M., Surgery

“From the very first phone call, the staff at A Personal Choice has been amazing! They have answered our numerous questions, concerns and have been amazing. They never give you false hope, but give you the complete story. I am so happy that we chose Dr. Monteith and his staff to make our dreams a reality. Can’t wait to start trying to have a baby. I would and have recommended Dr. Monteith to ANYONE wanting a tubal ligation or vasectomy reversal. Thank you all so much for giving us this chance!”

– Angela W., Essure Reversal

“Excellent service overall! Each stage of the process was carefully explained in great detail: how the procedure works, what to expect during the procedure, what to expect after, possible side effects. Dr. Monteith himself is very knowledgeable and experienced and quite personable too. He has a great sense of humor and uses it generously to put patients at ease. I highly recommend him and his staff to anyone considering either a vasectomy or a vasectomy reversal.”

Chris B., Vasectomy Reversal

“The perfect little angel that I’m holding in my arms right now is the best testament to what Dr. Monteith and his staff do for people. We could not be happier with our decision to use Dr. Monteith. His staff are just amazing. Our entire experience was just a dream! Thank you, from the bottom of our hearts, thank you!”

Jamie B., Reversal of Cut & Tied Tubes

GET IN TOUCH WITH US

Ask The Doctor

Your questions about reversal surgery will be answered directly and promptly by Dr. Monteith. Please read our most frequently asked questions before submitting your questions. Dr. Monteith will not respond to general medical questions or if you are a patient of another doctor and are contacting him because your doctor is unavailable.* If you have been a patient at our reversal center and have specific questions about your medical care you should contact the reversal staff directly at (919) 977-5050.

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Have Questions? Leave a comment here or visit our contact page.

505 Comments

Jennifer Reply

I am 42 and currently have 3 children ages 20, 10, 2. After giving birth to my 2 yr old in 2016 I had a tubal Ligation/Resection. I later was suffering from heavy periods and had an ENDOMETRIAL ABLATION. After doing this I now regret getting both done and I want to get pregnant again. Is this possible? And what are the cost associated with this type of procedure. Please advise.


    Dr. Monteith Reply

    Jennifer
    In general it is recommended that you not become pregnant after having an ablation procedure.

    Tubal reversal and pregnancy are possible if you are having regular periods of at least 3 days duration after your ablation. All pregnancies after ablation are considered high risk. Most IVF doctors will recommend using a gestational surrogate. IVF costs average $14,000 and you will have to pay the surrogate even more.

    If you are not having periods then we would not consider you a candidate for reversal. There is no medical treatment to make your periods return.

    Ablation will decrease the chance of pregnancy because it permanently damages the lining and muscle of the uterus.

    If your periods are light then you do have some functioning endometriumm but we are not always certain if it is enough to allow for pregnancy. There is no accurate way to be certain.

    We cannot provide an accurate percentage about the success of women getting pregnant after reversal with a prior ablation because there are no large scale studies looking at this. We have had women become pregnant naturally after tubal reversal with a prior ablation but don’t have a large enough group of these patients to provide meaningful statistics.

    Studies looking at women who have become pregnant after ablation show that about 50% will miscarry and about 50% will have live born babies.

    You should read these six articles I wrote about ablation, reversal, and the risks of pregnancy: Tubal Reversal and Ablation

    The ablation will decrease the chances of pregnancy but if you are having regular monthly periods of at least three days duration then pregnancy is certainly possible. If you are not having regular periods then I would advise against a reversal because pregnancy is not likely.

    In general pregnancy is not recommended after ablation because each pregnancy is at higher risk; miscarriage, growth restriction, early delivery, c-section and adherent placenta. The literature suggests pregnancies are at higher risk but many will do well.

    It is possible to become pregnant after having an endometrial ablation and then a tubal reversal and have a healthy pregnancy if you are having regular periods of at least three days duration every month. Please call us at (919)977-5050 if you have any additional questions about tubal reversal.

    To be considered a candidate by our office you need to be having regular periods (every month) and these periods need to last for at least three days.

    All patients with ablations need a consult with me (Dr Monteith) either by phone or in person before they can schedule reversal surgery.


Kisha Reply

I am 36 and I had an infection in my tubes which caused the ends to be damaged. I was told they are open but the little fingers at the ends are clubbed. I have 2 children and would like to have more children. My doctor said she dont fix them. Is it possible to have them fixed or is IVF my only option?


    Dr. Monteith Reply

    Kisha
    We may be able to repair your tubes and provide you with a chance of pregnancy. IVF may provide your best chance but an average cycle costs $14,000.

    We charge $6900 to $7400 for tubal repair (our nurses can give you a more exact cost). Tubal repair would allow you the chance to become pregnant. Surgery is safe but you would be at an increased risk for ectopic pregnancy after tubal repair.

    You should send us the report and images of the HSG x-ray and the reports of any of your evaluations for tubal blockage. When can then let you know if you are a candidate for tubal repair surgery. Call us if you have questions.

    Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.


Sara Reply

I am 36 I have three kids. My new husband n I would like to have another child. My tubes were cut in 2006. Can I have more?


    Dr. Monteith Reply

    Sara
    Give us a call for more information. We should be able to reverse your tubal ligation and provide you with the chance to become pregnant again.

    We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina. Insurance will not pay for tubal reversal surgery.

    You should send us your tubal ligation records for a free review.

    Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food. Patients stay in Raleigh a total of 2 nights and 3 days. The consultation is the first day, surgery the second day, and postoperative visit is the third day.

    We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

    Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

    The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once. On average, about 2 out of every 3 women become pregnant with tubal reversal surgery.

    Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about reversal surgery at our center.

    The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal


    Moza Reply

    My tups are ligation with cut can iopen again???


      Dr. Monteith

      We should be able to help you. About 2 out of 3 patients will become pregnant after tubal reversal.

      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina. Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.


Stacie Reply

I am 42 and me and my husband wants a baby. I need a reversal but I’m not having regular periods. I’ve never had trouble conceiving before, but I know my age is a factor. Am I out of luck because of my nonregular periods. well by regular they are about the same time every month but the flow is horrendous.


    Dr. Monteith Reply

    Stacie
    It is harder to become pregnant with increasing age but not impossible if you are having regular periods. I would advise you not delay your decision for too long.

    The chance of pregnancy after age 40 and tubal reversal is about 35% to 40%. We do have many patients who become pregnant with tubal reversal after age 40. Most of the women who become pregnant after reversal are between the age of 40 and 43.

    The chance of natural pregnancy at age 50 is less than 1%.

    For more information: Tubal reversal and age

    The surgery at our center should be safe. Pregnancy should be safe as long as you dont have any severe medical conditions. It is harder to become pregnant with increasing age so I would not delay your decision for too long.

    To see more the success stories of older moms visit: Successful tubal reversal after age 40

    Here is a testimonial you may be interested in: “We Had Given Up” Tubal Reversal Mom Age 47

    Call us at (919) 968-4656 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our center.

    The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal


Reece Reply

Hi,
I have had essure since 2012, I realized I want to conceive again. Would I be a good candidate at age 35? Is the success rate good?


    Dr. Monteith Reply

    Reece
    We specialize in Essure reversal and Essure removal. We can reverse Essure and give you the chance of pregnancy….or we can remove Essure and leave your tubes closed. The cost is the same $7,500. We are located in Raleigh, North Carolina.

    No other clinic or doctor has the experience we do. The chance of pregnancy after Essure reversal is about 40%. If you are having symptoms that started soon after Essure most patients report improvement after removal of the devices. We do have a surgery prepayment plan.

    More information: Successful Essure reversal with Dr Monteith

    We charge a total of $7,500 for Essure reversal/removal plus $125 to schedule surgery. If you use our prepayment plan then you can contribute any amount as you are able but you must have the surgery paid for by three years. We do work with two financing companies and we do have a prepayment plan.

    Here is more information on the Tubal Reversal Prepayment Account: Tubal Reversal Prepayment Account

    Here is more information on tubal reversal financing: Tubal Reversal Financing

    Call us at (919) 968-4656 8am to 5pm eastern standard time and we would be happy to speak with you about surgery at our center.

    The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal


    Reece Reply

    I’m completed the finance application and was approved, so I’m ready to get the surgery so I can have another child


      Dr. Monteith

      Call us at (919)968-4656 and we can tell you how to get started.